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A group based smoking cessation pilot programme for community mental health clients in Sydney

  • Erin Devine (a1), Raquiba Jahan Khan (a2), Karen Bedford (a3), Wei Zhuang Jiang (a4) and Henry Lim (a5)...
Abstract

Introduction: This article describes the process and evaluation of a smoking cessation support programme for mental health clients in Sydney.

Aim: The objective of the study was to assess a group-based smoking cessation support model for community mental health clients.

Methods: Two community mental health services participated; 29 clients received free NRT products and weekly education for 12 weeks on: effects of smoking, nicotine dependence, NRT use, withdrawal process and the benefits of quitting. Evaluation included face-to-face interviews, telephone or postal survey using a semi-structured questionnaire.

Results: The baseline (n = 29) and follow-up (n = 14) surveys showed reduction in the number of cigarettes (30 to 21) smoked a day (55% vs. 36%). At one month 47% (n = 19) were confident about stopping smoking permanently whereas 19% (n = 14) reported the same after six months. Participants reported concerns of health effects, illness, physical symptoms (77% n = 27) and financial cost (93% n = 27) were the motivating factors in quitting. None of the findings was statistically significant.

Conclusions: Community based interventions to address the rate of smoking in this group is needed. Financial and health benefits can be used as motivating factors, and integration of smoking cessation assistance in treatment and rehabilitation of mental health consumers would be useful.

Copyright
Corresponding author
Address for corresponding: Raquiba Jahan Khan, PhD in Health Promotion, Mental Health Promotion Research & Evaluation Officer, Health Promotion Service, South Western Sydney & Sydney Local Health Districts, NSW Health, Australia; e-mail: Raquiba.Khan@sswahs.nsw.gov.au
References
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Ajzen, I. & Fishbein, M. (1980). Understanding Attitudes and Predicting Social Behaviour. Englewood Cliffs, NJ: Prentice-Hall.
Ashton, M., Miller, C. L., Bowden, J. A. & Bertossa, S. (2010). People with mental illness can tackle tobacco. Australian and New Zealand Journal of Psychiatry, 44, 10211028.
Australian Bureau of Statistics (ABS) (2008). National Survey of Mental Health and Wellbeing: Summary of Results. Cat. No. 4326.0. Canberra, Australia: Australian Bureau of Statistics. Available at: http://www.ausstats.abs.gov.au/Ausstats/subscriber.nsf/0/6AE6DA447F985FC2CA2574EA00122BD6/$File/43260_2007.pdf, accessed 20/1/11
Australian Institute of Health and Welfare (AIHW) (2008). 2007 National Drug Strategy Household Survey: first results. Drug Statistics Series number 20. Cat. No. PHE., Canberra, Australia: AIHW, available at: http://www.aihw.gov.au/publications/phe/ndshs07-fr/ndshs07-fr-no-questionnaire.pdf accessed 20/1/11
Bittoun, R. (2006). A combination nicotine replacement therapy algorithm for hard-to-treat smokers. Journal of Smoking Cessation, 1 (1), 36.
Bryant, J., Bonevski, B., Paul, C., O'Brien, J., & Oakes, W. (2010). Delivering smoking cessation support to disadvantaged groups: a qualitative study of the potential of community organisations. Health Education Res, 25, 979990.
Currie, S. R., Karltyn, J., Lussier, D., de Denus, E., Brown, D. & el-Guebaly, N. (2008). Outcome from a community-based smoking cessation program for persons with serious mental illness. Community Mental Health Journal, 44, 187194.
Eccles, J., Knowlden, S., Rich, D., Perusco, A., Mathews, D., Grootemaat, P. & Williams, M. (2006). Report on The Clean Air for All Project: Managing nicotine dependence in two mental health units in Sydney South West. Sydney: NSW Department of Health.
el-Guebaly, N., Cathcart, J., Currie, S., Brown, D. & Gloster, S. (2002). Smoking cessation approaches for persons with mental illness or addictive disorders. Psychiatric Services, 53, 11661170.
Elkins, K., Curry, C., Harrigan, S., & McGorry, P. (1997). Cigarette smoking and psychosis: the first episode experience. Mental illness and smoking cessation: an urgent public health issue. Forum proceedings 19 November 1996. Carlton South, Vic: Victoria Smoking and Health Program 1997.
Fagerstrom, K. O. (1978). Measuring degree of physical dependence to tobacco smoking with reference to individualization of treatment. Addictive Behaviors, 3, 235241.
Farkas, A. J., Gilpin, E. A., Distefan, J. M., & Pierce, J. P. (1999). The effects of household and workplace smoking restrictions on quitting behaviours. Tobacco Control, 8, 261265.
Hill, D. & White, V. (1995). Australian adult smoking prevalence in 1992. Australian Journal of Public Health, 19, 305308.
Krueger, R. A. (1998). Analyzing and reporting focus group results. Focus Group Kit 6. Thousand Oaks, CA: Sage Publications.
Lawn, S. J., Pols, R. G. & Barber, J. G. (2002). Smoking and quitting: a qualitative study with community-living psychiatric clients. Social Science and Medicine, 54, 93104.
Lawrence, D., Mitrou, F. & Zubrick, S. (2009). Smoking and mental illness: results from population surveys in Australia and United States. BMC Public Health 2009, 9:285 (doi: 10.1186/1471-2458-9-285)
Pizacani, B. A., Martin, D. P., Stark, M. J., Koepsell, T. D., Thompson, B. & Diehr, P. (2004). A prospective study of household smoking bans and subsequent cessation related behaviour: the role of stage of change. Tobacco Control, 13 (1), 2328.
Polgar, S., McGartland, M. & Hales, T. (1996). Cigarette smoking and schizophrenia: a public health issue. Australian Journal of Primary Health Interchange, 2, 2128.
Prochaska, J. O., DiClemente, C. C. & Norcross, J. C. (1992). In search of how people change: applications to the addictive behaviours. American Psychologist 47, 11021114.
Ragg, M. & Ahmed, T. (2008). Smoke and mirrors: a review of the literature on smoking and mental illness. Tackling Tobacco Program Research Series No. 1. Sydney, Australia: Cancer Council NSW.
Saxon, A. J., Baer, J. S., Davis, T. M., Sloan, K. L., Malte, C. A., Fitzgibbons, K. & Kivlahan, D. R. (2003). Smoking cessation treatment among dually diagnosed individuals: preliminary evaluation of different pharmacotherapies, Nicotine & Tobacco Research, 5 (4), 589596.
Stead, L. F. and Lancaster, T. (2009). Group behaviour therapy programmes for smoking cessation (review), the Cochrane collaboration, The Cochrane Library 2009, issue 1.
Steven, A. & Schroeder, M. D. (2004). Tobacco control in the wake of the 1998 Master Settlement Agreement. The New England Journal of Medicine, 350, 293301.
Tsoi, D. T., Porwal, M. & Webster, A. C. (2010). Interventions for smoking cessation and reduction in individuals with schizophrenia. Cochrane Database of Systematic Reviews, Issue 6. Art. No.: CD007253, DOI: 10.1002/14651858.CD007253.pub2.
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Journal of Smoking Cessation
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  • EISSN: 1834-2612
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